POPULATION CLASSIFICATION FOR CARE MANAGEMENT

A method of population classification to identify the likely level of care management interventions appropriate for individuals, for use in a population health management system, the method including: receiving, by a processing engine, medical claims data for an individual; reviewing, by the process...

Ausführliche Beschreibung

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Bibliographische Detailangaben
Hauptverfasser: Young, Janet K, Gagen, Christopher A, Gorski, Therese R, Fischer, Anne E, Kelley, Robert P, Sirbu, George, Brown, Amy G, Alter, Matthew R
Format: Patent
Sprache:eng
Schlagworte:
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Beschreibung
Zusammenfassung:A method of population classification to identify the likely level of care management interventions appropriate for individuals, for use in a population health management system, the method including: receiving, by a processing engine, medical claims data for an individual; reviewing, by the processing engine, a plurality of predetermined parameters within the medical claims data for the individual; classifying, by the processing engine, the individual into one of a plurality of predetermined intervention groups, based on reviewing the plurality of predetermined parameters; and providing to the population health management system, by the processing engine, a level of care management appropriate for the individual based on the predetermined intervention group in which the individual was classified.